Nyias endometrium: ua thiab soj ntsuam raug

Niaj hnub no, yuav tsum muaj yam ua tau raws li cov kev kawm uas cev xeeb tub yog suav tias yog ib txwm embryo thiab cov endometrium yog receptive, tau perceive nws. Uas yog vim li cas ib tug nyias endometrium, cov ua uas tej zaum yuav sib txawv heev, ho thiaj li tau cev xeeb tub, vim hais tias nws yog ntseeg hais tias lub thickness ntawm 5 hli tau nyob rau hauv ib tug tsawg kawg nkaus qhov uas yuav muaj ib tug tsim conception. Yog li ntawd, niaj hnub tshuaj tau qhia tag nrho cov kev siv zog rau tshwj kom txhob no kab mob.

Tab sis cia tham ntxiv txog tus kab mob no, raws li zoo raws li nti txiav txim cov pathogens uas ua rau nws txoj kev loj hlob. Ua ntej ntawm tag nrho cov, hais tias nyob rau hauv nws tus kheej sawv cev lub endometrium lub puab txheej membrane ntawm lub tsev me nyuam lub cev, meem hauv nws cov kab noj hniav thiab muaj ntau cov hlab ntsha. Nws lub ntsiab muaj nuj nqi yog muab kev pom kev rau cov neeg mob, yog li tsim nyog rau lub implantation ntawm lub blastocyst nyob rau hauv lub tsev me nyuam.

Txawm li cas los, nyob rau hauv Gynecology feem ntau thiaj paub hais tias nyias endometrium, cov ua uas tej zaum yuav tshwm sim los ntawm ib tug xov tooj ntawm pathological yam. Qhov no yuav ua tau ib tug ntshav teeb meem nyob rau hauv lub tsev me nyuam, uas yog xam qhovkev nyob rau hauv ob qho tib si raws roj ntsha (congenital) los yog kis tau (tom qab o, ntxias rho menyuam, kev poob plig, los yog cov kab mob ntawm lub tsev menyuam nyob ib sab nruab nrog cev) ua cim. Nyob rau hauv tas li ntawd, cov pathology peev xwm yuav tsim nyob rau hauv lub keeb kwm yav dhau ntawm lub tsev me nyuam hypoplasia, los yog raws li ib tug tshwm sim ntawm hormonal tsis txaus.

Yog hais tias peb tham txog xws li ib anomaly, zoo li ib tug nyias endometrium, nws ua yuav tau ncaj qha mus txuas rau rho me nyuam tawm, nrog ib tug muaj zog dua curettage. Tej kev phiv "kev tshwm sim" tsis tsuas yog yuam tus endometrium, tab sis kuj coj ib tug lossis loj kev puas tsuaj rau tus poj niam lub cev. Thaum koj tshem tag nrho ntawm tej txheej ntawm lub tsev me nyuam tus neeg mob tseem dawb ntawm lub platform los ntawm uas nws yuav tsim lub endometrium, tab sis lub phenomenon yog tsis tshua muaj tsis tshua muaj, tab sis yog hais tias muaj yog qhov chaw uas cov txheej ntawm cov endometrium thiab nws yog tsis yooj yim sua rau rov qab, cev xeeb tub ua heev yooj yim.

Thaum nrhiav kom tau ntawm ib tug pathology nyias endometrium kev kho mob yuav tsum tau muab sai li sai. Yuav ua li cas rau qhia no anomaly nyob rau hauv ib tug raws sijhawm? Kom loj hlob thiab endometrial thickness yog kom meej meej pom nyob rau ultrasound, thiab nws pub tus nqi yuav tsum tsis muaj tsawg tshaj 7 hli, xwb ces yuav muaj kev vam meej uas cev xeeb tub. Txawm li cas los, nws yog ib qho tseem ceeb rau ntxiv tias cev xeeb tub yog heev tiag tiag thiab ib tug thinner endometrium, tab sis lub thinner lub txheej, cov tsawg caij nyoog ntawm qhov cev xeeb tub.

Yog hais tias koj nrhiav tau ib tug nyias endometrium, ua tau lawm tias, koj xav tau ib tug txheej ntawm kev ntsuas rau tam sim ntawd tshem tawm ntawm lub pathology, uas nyob rau hauv feem ntau ib tug zoo tshwm sim. Niaj hnub no, yog li ntawd, cov ntsiab lus xws li "nyias endometrium" thiab "uas cev xeeb tub" yog heev tshaj.

Yog li ntawd tsim yog kho raws li ib tug yeeb tshuaj nrog ib tug predominance ntawm hormone txoj kev kho, thiab kev phais tshem tawm ntawm qhov ncaj endometrial txheej. Nyob rau hauv lub thib ob cov ntaub ntawv peb kuj muaj kev siv ntawm cov tshuaj hormones rau restore lub internal nqi koj tshuav ntawm tus poj niam lub cev.

Txawm tias muaj tseeb hais tias ib tug nyias endometrium yog yuav luag tsis yooj yim sua kom paub tias koj tus kheej raws li lub pathology ntawm asymptomatic, tsis tshua nrog los ntshav, yuav tsum tau ib tug systematic kev tiv thaiv ntawm tus kab mob no. Ua li no, koj yuav tau saib xyuas ntawm lawv cov kev kho mob, lub sij hawm los mus tshem tawm cov lus ua poj niam, mob siab heev sib ntaus rog, los koj lub siab lub ntsws tom qab, tshem tawm kev nyuaj siab. Nws tseem yog hu mus nqa tawm niaj hnub hu ua pelvic ultrasound , thiab nyob rau slightest tswb "hais txog poj niam" nrhiav kev pab los ntawm ua cov kws txawj.

Tib txoj kev los mus tiv thaiv cov mob ntawm lub anomalies nyias endometrium, cov ua uas koj yuav tsum tshem tawm kom sai.